Provider Demographics
NPI:1326120783
Name:CASALE, PASQUALE (MD)
Entity Type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:
Last Name:CASALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 E PRINCETON ST STE 310
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1468
Mailing Address - Country:US
Mailing Address - Phone:407-303-5781
Mailing Address - Fax:407-303-5794
Practice Address - Street 1:615 E PRINCETON ST STE 310
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1468
Practice Address - Country:US
Practice Address - Phone:407-303-5781
Practice Address - Fax:407-303-5794
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208263208800000X, 2088P0231X
FLME1409092088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100953122Medicaid
PA078742J5HMedicare ID - Type Unspecified
PAH82354Medicare UPIN